Abstract
Purpose:
To describe a new surgical technique that incorporates the use of a tarsus and conjunctiva autograft to alleviate lower-lid retraction.
Methods:
A retrospective chart review of 15 cases of conjunctivo-tarso-mullerectomy combined with ectropion repair from 2010 through 2013 were analyzed at a private practice.
Results:
13 out of 15 patients had excellent functional and cosmetic results at 3 months of follow-up. One patient needed further revision for cosmetic purposes but had resolution of symptomatic tearing. One patient was lost to follow up.
Conclusions:
The use of a patient’s own tarsus and conjunctiva as a spacer graft in lower lid retraction is a cost-effective and safe option in patients with both moderate ptosis and lid retraction.
Keywords: 526 eyelid •
474 conjunctiva •
631 orbit